NCG060288_DMR_20220621

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE.NO. NCG06 D SAMPLE COLLECTION YEAR �D a � JUL 05
FACILITY-N ME SAMPLE PERIOD [g1an-June ❑July-Dec N7 A1 1
COUNTY _ . or ❑ Monthly' (month) DWR SEC7'j®N
PERSONI'COLI CTING SAMPLES. �0 Nr �� h
'.LABC�RA1'ORY FNtii%dam N�i � b Cert.# DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
❑Zero-flow [:]Water Supply ❑SA
Other fwl&ell 141k``
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A Stormwater Benchmarks and Monitoring Results Total event rainfall z D or ❑ discharge this
No disc period'
Date Sample TSS, :Oil and-Grease,,'' Fecal Colrform, - Enterococci,.
;.pH, COD,
OutfallNo , ¢
,Standard units .mg/L mg/L Colonies perA00 ml Colomes'per 100 m1
Benchmark <
1'OO or 50° =f .Within 6 0-9 0 120' 30` 10001 ;5001
yP,.a'ram'eter,.Code, C0530. °00400-'•-.a .,. 00340 00556 . _ .:•31616 .. . 61211. ,_
Dfo 0-3%Zz
2 0 2z 3
zz y,
oc�i�3/zz L(
VU/o3/Zz1 l 5, D
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from anon-site rain gauge.
3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 1,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?❑yes �io (if yes,complete Part B)
Permit•Date:11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

f �
for oil
Part B:,Vehicle:Maintenance Area',Momn tong Results only for facilities averaging>55 gal of new mo /month
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tiParameter,Code x rg
Footnotes-from Part A also apply-to Part B
*FOR`:PART,- NIJTART B:MONITORING RESULTS:
e A:BENCHMARK'EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTIO
•_ . 2,EXCEEDANCES.IN A.ROW.FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B..
e TIER-3: .HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO
IF YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES [:] NO
REGIONAL OFFICE CONTACT NAME:
Mailvaoriclinal copy of this DMR including all"No Discharge"reports,within 30 days of receipt of the lab results or at end of monitoring period in the case
of"No Dischdrae"reports)to:
F
ion of Water Quality
: DWQ Central Files
7 Mail Service Center
igh, NC 27699-1617
YOU..MUST SIGN THIS CERTIFICATION FOR"ANY INFORMATION REPORTED:
"I certify, urider,penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed'to`assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information;the information submitted is,to the best of my knowledge and
belief,true, accurate,and complete. I am,aware that there are significant penalties for submitting false information,including the possibility of fines and
imprisonment for knowing violations."
Sig tur f Permittee Date
SWU-249, Last Revised 11/5/2018
Permit Date:11/1/2018-05/31/2021 Page 2 of 2
1'

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted VZ/-Z
CERTIFICATE OF COVERAGE NO. NCG06 G` SAMPLE COLLECTION YEAR D 0\
FACILITY NAME Vallel d9r9,2 GLC- SAMPLE PERIOD 2 -jan-June ❑July-Dec
COUNTY ��j, or ❑ Monthly' (month)
PERSON-COLL CTINGSAMPLES. �OGNr� c. AMA-1
LABORATORYFiva'i%d.�� �1Cab Cert.# DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
P�J.Other fi 9Z,-1 r '`
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall z r or ❑No discharge this period'
Date Sample `'TSS;, pH; COD,`. Oil.and Grease, jecafColiform, Enterococcl,
Outfal)No: L rrig/L . Colonies 0er;100 in °Coloriies per 100 rinl
Collected,mo/dd/.yr rrig/L.: Standa`rd,units.• rn
Benchmark - 100 or 50' Within.6.0--90 120 30 10001 500i
;Parameter.Code � . ."°C0530 . _00400 00340 00556��,, .. 31616`.; 61211, .
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text,Table 1,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?❑yes [ ao (if yes, complete Part B)
Permit Date:11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

� =~
Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
tb�Sarn Total S6�66nded Solids
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEFDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART U SECTION B.
w 2EX�EEDANCE5|N/\ROVVFOR THE SEE PER��|TPART|| SECTION B.
T\E^�^—: HASYDURFAC|L|TYH ^ORW1ORE8EN[Hy�ARKEXCEEDENCES FOR THE SA��EPARA��ETERAT ANYONE OUTFALL? YES �� NQE]
|F—YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES F1NO��
REGIONAL OFFICE CONTACT NAME:
Mail an.original copV of this DMR, including all"No 6ischarge"'reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"'No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true, accurate, and complete. I am,aware that there are significant penalties for submitting false information, includi ng the possibility of fines and
imprisonment for knowing violations."
Date
� rm��e
5VVU'249' Last Revised 11/5/2018
Permit Date:11/l/2U18'05/31/ZOZ1 Page 2 of